The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. Which lab value is consistent with these symptoms?
a. Platelet count of 25,000/mm3
b. Hemoglobin level of 8 g/dL
c. Hematocrit level of 36%
d. Leukocyte count of 14,000/mm3
ANS: A
The normal platelet count is 150,000 to 400,000/mm3. This finding is very low, indicating an increased bleeding potential.
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A pregnant patient in the CCU who recently was in a motor vehicle accident suddenly complains of an intense chest pain that she describes as "ripping" before passing out. On auscultation, the nurse hears the murmur of aortic regurgitation
What condition does the woman most likely have? A) Thoracic aortic aneurysm B) Aortic dissection C) Hypertrophic cardiomyopathy D) Hypertensive crisis
The ICU nurse consulted with the client's health care provider and the decision was made to intubate the client
The nurse anticipates the health care provider will require which of the following items in order to successfully intubate the client? 1. Nonsterile gloves, stylet, endotracheal tube, lubricant, laryngoscope handle and blade, resuscitation bag with a swivel adapter, and syringe 2. Gloves, lubricant, laryngoscope handle and blade, resuscitation bag with a swivel adapter, and ventilator 3. Sterile gloves, endotracheal tube, lubricant, laryngoscope handle and blade, resuscitation bag with a swivel adapter, and syringe 4. Gloves, stylet, lubricant, laryngoscope handle and blade
When preparing dantrolene for administration to a client the nurse should:
a. rotate the vial until the fluid is clear. b. inform the client what the medication is and why it is being given. c. administer the medication slowly IV. d. assess the client for manifestations of malignant hypertension
A secondary deficiency of a vitamin occurs when
a. dietary intake of two or more vitamins is inadequate. b. absorption is inadequate or excessive amounts are excreted. c. dietary intake is less than the physiologic need of the individual. d. the vitamin deficiency is accompanied by protein-energy malnutrition.